[Announcement of a serious illness to a child]

François Doz1,2, Maria Rodriguez Cortina1,3, Étienne Seigneur1,3

  • 1Centre SIREDO (Soins innovation recherche en oncologie de l'enfant, l'adolescent, et l'adulte jeune), institut Curie, Paris, France.

La Revue Du Praticien
|September 3, 2020
PubMed

Insights

Seriously ill children require direct, age-appropriate communication about their diagnosis. This disclosure process involves stages, respecting individual child and parent needs, guided by principles of honesty and trust.

Area of Science:

  • Pediatric Medicine
  • Child Psychology
  • Medical Ethics

Background:

  • Communicating serious illness to children presents unique challenges.
  • Balancing timely treatment with sensitive disclosure is crucial.

Purpose of the Study:

  • To outline principles for informing critically ill children about their diagnosis.
  • To emphasize a staged, individualized approach to disclosure.

Main Methods:

  • This study is a conceptual analysis based on established ethical and psychological principles.
  • It synthesizes best practices for pediatric serious illness communication.

Main Results:

  • Direct communication with critically ill children is recommended.
  • Disclosure should be tailored to the child's age, family context, and relationship with parents.
  • The process is iterative, respecting varying paces of understanding for the child and parents.

Conclusions:

  • The announcement of a serious pediatric illness requires a sensitive, staged approach.
  • Communication must be honest and avoid betrayal, prioritizing the child's well-being.
  • This method supports the child and family through the diagnostic process.

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